Individual
SHALYN LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 672-3473
Mailing address
941 COVEY RUN RD APT 106, SHERIDAN, WY 82801-3296
(308) 631-4574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1867
WY
Other
Enumeration date
10/31/2025
Last updated
11/07/2025
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